D75.839 coverage policies: Medicare and commercial payers

25 active Medicare policies list D75.839, and 1 commercial payer policy lists it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.

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Medicare policies listing D75.839

LCD · WPS-J5-L34633

Erythropoiesis Stimulating Agents (ESAs)

J5 · Effective Oct 1, 2015

LCD · WPS-J8-L34633

Erythropoiesis Stimulating Agents (ESAs)

J8 · Effective Oct 1, 2015

LCD · CGS-J15-L38070

MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies

J15 · Effective Feb 10, 2020

LCD · NORIDIAN-JE-L38123

MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies

JE · Effective May 17, 2020

LCD · NORIDIAN-JF-L38123

MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies

JF · Effective May 17, 2020

LCD · PALMETTO-JJ-L38047

MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies

JJ · Effective Feb 10, 2020

LCD · PALMETTO-JM-L38047

MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies

JM · Effective Feb 10, 2020

LCD · WPS-J5-L38176

MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies

J5 · Effective Feb 9, 2020

LCD · WPS-J8-L38176

Commercial payer policies listing D75.839

1 policy from 1 payer

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Anthem

Anthem policies listing D75.839, with the code’s status in each
Policy	Effective	Status of D75.839
Serum Iron TestingClinical Guideline · ANTHEM-CG-LAB-21	Apr 15, 2026	Covered